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SCHEDULE | - EARNED INCOME Name Congressman Roscoe Bartlet Page 2 of 4 [List the source, type, and amount of earned i dar year, Fora sy MD State Retirement System rom any soure ist the source a Pension ther than the filers i employment by the US. Government totaling $200 or more list only the source for other spouse earned income exceeding jount of any honors $15,000 SCHEDULE Ill - ASSETS AND “UNEARNED” INCOME BLOCK A Asset and/or Income Source {Identity (a) exch asset held for investment or production of income with BLOCK B Year-End 2 fair market value exceeding $1,000 at the end ofthe reporting period, year. you use a Valuation method {you so choose, you may indicate that an asset or income source is ‘that of your spouse (SP) or de oc JT ST JT 153 acres and 2 houses 2 Spruce Knob Lake Forest Service Rd _Pocahontas County, WV Frederick County Bank House i : 256 Knoxville Rd Knoxville, MD House 4317 Buckeystown Pike Frederick, MD House 4219 Lime Kiln Rd Frederick, MD ils (DC oF is jointly held (JT), $100,001 - $250,000 $500,000 $100,001 - $250,000 ~~ $1,000,001 - $5,000,000 $100,001 - $250,000 Value of Asset at close of reporting $250,001- Name Congressman Roscoe Bartlett BLocKe Type of Income None INTEREST "RENT RENT RENT Poge of 4 BLOCK E Transaction BLOGK D Amount of income For retirement plans or ‘accounts that do not allow you to choose specific nvostments, you may write "NA" for income. For al other assets, indicate the NONE "$5,001 - $18,000 $5,001 - $15,000 $50,001 - $100,000 $15,001 - $60,000